HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST
Date:
FOR APPLICATION TO BE A%CEPTED
Permit Number: S�r ~
:�
ANC AP-Q 2075
Building Permit Application PEi, ,ITiING
Planning and Development Services F%tS'eie e
Li�ou ty, FL
Building and Code Regulation Division St. Lucie County, F�
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building I
PROPOSED INPROVEMENT LOCATION:
FM
Address: 13313 NW Baywood Place Z2 g9cj D
Legal Description. Riverbend Plat Book 67 Page 36 City of Port St. Lucie, St. Lucie County, Florida
Property Tax ID #: 4425-703-0035-000-9
Site Plan Name: Riverbend
Project Name: River/
Setbacks Front 40.00 Back: 71.20 Right Side: 8.10 LeftSide: 12.48
DETAILED DESCRIPTION OF WORK:
New Construction-SFR Model-6810 Elevation C Garage R
.9
Lot No. 30
Block No.
CONSTRUCTION INFORMATION:
Additional work to be
erformed under this permit — check all apply:
R3HVAC L_J Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric ❑✓_ Plumbing ❑Sprinklers ❑ Generator Z Roof
Total Sq. Ft of Construction: 4441
Cost of Construction: $ 373,000.00
S Ft. of First Floor: 3206
Utilities:C2Sewer ❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Standard Pacific of South Florida
Name: Richard Manning Woodley
Address: 825 Coral Ridge Drive
Company: Standard Pacific of South FI GP, Inc.
Address: 825 Coral Ridge Drive
City: Coral Springs State: FIL
Zip Code: 33071 Fax:954-434-8840
City: Coral Springs `State: FL
Phone No. 954-232-2290
Zip Code: 33071 Fax: 954-434-8840
E-Mail: Permits@brownspermitting.com
Phone No. 954-232-2290
Fill in fee simple Title Holder on next page ( if different
E-Mail: Permits@brownspermitting.com
from the Owner listed above)
State or County License: CBCA17970
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
WF
CERTIFICATIO -,
This application is hereby made to o.. permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit s uch
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non -
residential use.
NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
OWNER OR
STATE OF FLORIDA
COUNTY OF Broward
SIGNATURE
The foregoing instrument was acknowledged before
me this I day of n 1 20 i s ,
by (Y'l-ONO, IV14P-E`LU
who is personally known _X or has produced
as identification.
Signature of Notary
CONTRACTOR SIGNATOE
STATE OF FLORIDA
COUNTY OF Broward
The foregoing instrument was acknowledged before
me this loth day of February , 20 15 ,
by Richard Woodley Manning
who is personally known X
or has produced
identification.
LINDA C. GOSSELIN
MY COMMISSION # EE 222
Commission No. Commission No. EE 224735 ;. EXPIRES: August 14, 2(
I s�oF EondedThruNotary Public Unde
,,. .:rah:DEN
ISE BROWN
Commission # FF 140 007
a: Expires November 4, 2018
•i P�°:`•' Bonded Thru Troy Fain Insurance 800-395-7019
NOTE: TWO (2) t1imm REQ EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
Signature
For specific instructions spe apt jI opriate permit checklist.